Psoas abscess: Making an early diagnosis in the ED

Chern, Chorng–Shyan; Hu, Sheng-Chuan; Kao, Wei Fong; Tsai, Jui Chen; Yen, David Hung Tsang; Lee, Chen‐Hsen

doi:10.1016/s0735-6757(97)90057-7

Cited by 120 publications

(96 citation statements)

References 21 publications

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“…Psoas apsesinin klasik semptomları ateş, karın veya bel ağrısı ve topallayarak yürü-medir. Lökositoz, anemi ve yüksek sedimentasyon hızı belli başlı laboratuvar bulgularıdır (2,5) . İlk olgumuz tipik olarak psoas apsesi düşündü-ren kalça eklemi fleksiyonunda zorluk nedeniyle topallayarak yürüme bulgusuyla başvurmuş-tu.…”

Section: Discussionunclassified

Two Cases of Childhood Renal and Retroperitoneal Tuberculosis Presenting with Psoas Abscess

Bozdemir¹,

Çelebi²,

Çakır³

et al. 2012

ANKEM Derg

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Section: Discussionunclassified

Two Cases of Childhood Renal and Retroperitoneal Tuberculosis Presenting with Psoas Abscess

Bozdemir¹,

Çelebi²,

Çakır³

et al. 2012

ANKEM Derg

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“…The triad of psoas abscess includes persistent fever, low back or flank pain and abdominal mass 8) . Primary psoas abscess usually arises in young people under 30 years old, and the most frequently isolated pathogen is Staphylococcus aureus.…”

Section: Discussionmentioning

confidence: 99%

Successful Medical Management of Multilocular Psoas Abscess in a Pregnant Woman with Crohn's Disease: A Case Report

Suzaki

Takazoe

2011

Nichidai Igaku Zasshi

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The psoas abscess is very uncommon during pregnancy. If the abscess is secondary, surgical intervention on the predisposing disease is necessary for better outcome. We report the first case of a psoas abscess complicating Crohn's disease during ongoing pregnancy. A 28-year-old gravid woman with a history of ileal Crohn's disease presented at 16 weeks of gestation with high fever, right lower quadrant and low back pain. A diagnosis of right multilocular psoas abscess was made by MRI. Due to the impossibility of drainage and surgical intervention, she was treated by administration of appropriate antibiotics and total parenteral nutrition. The patient transvaginally delivered a female baby at the 40th gestational week without complications. Medical treatment of psoas abscess seems to be a choice in selected cases, although it requires a long hospital stay and continued careful observation due to further risk of infections such as catheter related blood stream infections.

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“…The majority of patients present with a non-specific history of weight loss, limp, anorexia, inguinal mass, low back or abdominal pain and fever [2,11,[20][21][22][23]. Leukocytosis (>10,000/mL) is observed in up to 83% of cases, elevated CRP and anemia <11 g/L (42.6 % in one series) are quite common.…”

Section: Discussionmentioning

confidence: 99%

Psoas Abscess after Radical Abdominal Hysterectomy: A Case Report and Review of the Literature

Spiliopoulos¹

2010

TOCCJ

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Abstract:We report a case of a 38-year-old woman who presented with right lower quadrant abdominal pain and occasional fevers, five weeks after radical abdominal hysterectomy and pelvic node dissection for cervical carcinoma. After initial empirical antibiotic treatment failure, a decision was made to proceed with percutaneous drainage of a right psoas abscess. The antibiotic regimen was adjusted according to the culture results from the abscess. The patient's condition improved in the next 36 hours. The patient was discharged six days later on oral antibiotic treatment for four weeks.Psoas abscess is a rare condition in general obstetrics and gynecology and its incidence in gynecological oncology is very low. This is a potentially fatal condition with difficult diagnosis and treatment. Appropriate management of these cases should include suspicion and confirmation of the diagnosis and aggressive medical and surgical treatment.

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Psoas abscess: Making an early diagnosis in the ED

Cited by 120 publications

References 21 publications

Two Cases of Childhood Renal and Retroperitoneal Tuberculosis Presenting with Psoas Abscess

Two Cases of Childhood Renal and Retroperitoneal Tuberculosis Presenting with Psoas Abscess

Successful Medical Management of Multilocular Psoas Abscess in a Pregnant Woman with Crohn's Disease: A Case Report

Psoas Abscess after Radical Abdominal Hysterectomy: A Case Report and Review of the Literature

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